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v1.0.0
ICD-10 Guide
ICD-10 CodesO08.8

O08.8

Billable

Other complications following an ectopic and molar pregnancy

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O08.8 is a billable code used to indicate a diagnosis of other complications following an ectopic and molar pregnancy.

Key Diagnostic Point:

O08.8 encompasses various complications that may arise after an ectopic or molar pregnancy. These complications can include persistent bleeding, infection, and the potential for sepsis, which may occur due to retained products of conception or surgical intervention complications. Patients may experience abdominal pain, fever, and other systemic symptoms indicative of infection or hemorrhage. Management of these complications often requires a multidisciplinary approach, including obstetricians, maternal-fetal medicine specialists, and possibly infectious disease experts. The clinical management may involve imaging studies to assess for retained products, laboratory tests to monitor infection markers, and surgical interventions such as dilation and curettage (D&C) or laparoscopic procedures to address complications. Understanding the nuances of these complications is critical for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential complications that can arise post-ectopic or molar pregnancy.
  • Need for precise documentation of clinical findings and interventions.
  • Differentiation between normal post-operative recovery and complications.
  • Variability in clinical presentation among patients.

Audit Risk Factors

  • Inadequate documentation of complications.
  • Failure to link complications to the primary diagnosis.
  • Misclassification of complications as routine post-operative care.
  • Lack of follow-up documentation for ongoing complications.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of patient history, clinical findings, and treatment plans are essential for accurate coding.

Common Clinical Scenarios

Management of retained products of conception, post-operative infections, and hemorrhage following ectopic or molar pregnancies.

Billing Considerations

Coders must be aware of the specific complications that can arise and ensure that documentation reflects the severity and nature of these complications.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, including risk factors and complications.

Common Clinical Scenarios

High-risk pregnancies with complications such as severe hemorrhage or infection requiring specialized care.

Billing Considerations

Attention to detail in documenting the maternal-fetal interactions and complications is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use O08.8 When
  • Coders should adhere to the official ICD
  • CM guidelines, ensuring that all complications are documented and coded accurately
  • Specific criteria for pregnancy
  • related complications must be met, including the timing and nature of the complications

Exclusion Criteria

Do NOT use O08.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used when a patient requires surgical intervention for retained products of conception following an ectopic or molar pregnancy.

Documentation Requirements

Documentation must include indications for the procedure and any complications encountered.

Specialty Considerations

Obstetricians must ensure that the procedure is well-documented to support the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications following ectopic and molar pregnancies, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications following ectopic and molar pregnancies, improving the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common complications associated with ectopic and molar pregnancies?

Common complications include infection, hemorrhage, and retained products of conception, which may require surgical intervention or medical management.